Staff New Lesson Evaluation Survey
Exit this survey
1.
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1
. What is your Local Agency number?
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What is your Local Agency number?
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2
. What is the NE code of the lesson you would like to evaluate?
(Note: If the NE code is not listed below, the evaluation period for the lesson is complete. Thank you for your feedback, and look for reviews on http://www.dshs.state.tx.us/wichd/nut/lesson-nut.shtm.)
What is the NE code of the lesson you would like to evaluate? (Note: If the NE code is not listed below, the evaluation period for the lesson is complete. Thank you for your feedback, and look for reviews on http://www.dshs.state.tx.us/wichd/nut/lesson-nut.shtm.)
CF-000-29
CF-000-32
MN-000-54
PN-000-10
PN-000-11
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3
. In what language(s) have you taught this class?
In what language(s) have you taught this class?
English
Spanish
Both and English and Spanish
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4
. How many times have you taught this class?
How many times have you taught this class?
1
2
3
4
5 or more
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5
. How easy or difficult was the lesson to follow?
How easy or difficult was the lesson to follow?
Very Easy
Easy
Difficult
Very Difficult
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6
. On average, how much time do you spend preparing to teach this lesson (e.g., reading through materials, gathering resources, preparing the classroom, etc)?
On average, how much time do you spend preparing to teach this lesson (e.g., reading through materials, gathering resources, preparing the classroom, etc)?
Less than 15 minutes
15 - 30 minutes
31 - 45 minutes
More than 45 minutes
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7
. On average, how long does the lesson usually take to teach?
On average, how long does the lesson usually take to teach?
Less than 20 minutes
21-30 minutes
31-40 minutes
More than 40 minutes
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8
. How much of the following sections of the lesson plan did you usually cover?
None
Some
All
Not applicable
Introduction/Icebreaker
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How much of the following sections of the lesson plan did you usually cover? Introduction/Icebreaker None
Introduction/Icebreaker Some
Introduction/Icebreaker All
Introduction/Icebreaker Not applicable
Main activity
Main activity None
Main activity Some
Main activity All
Main activity Not applicable
Optional activities
Optional activities None
Optional activities Some
Optional activities All
Optional activities Not applicable
Conclusion/Take away
Conclusion/Take away None
Conclusion/Take away Some
Conclusion/Take away All
Conclusion/Take away Not applicable
In-class evaluation
In-class evaluation None
In-class evaluation Some
In-class evaluation All
In-class evaluation Not applicable
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9
. How many of the clients usually participate in the class discussion?
How many of the clients usually participate in the class discussion?
Almost none
Less than half
About half
More than half
Almost all
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10
. In your opinion, what would be the ideal size for this class?
In your opinion, what would be the ideal size for this class?
Less than 6
6-10
11-16
More than 16
It doesn't matter
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11
. Compared to other classes you have taught, how much did you like teaching this class?
Compared to other classes you have taught, how much did you like teaching this class?
Less than most
About the same
More than most
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12
. Compared to other classes you have taught, how much do you think clients liked this class?
Compared to other classes you have taught, how much do you think clients liked this class?
Less than most
About the same
More than most
13
. What worked well?
What worked well?
14
. What would you do differently next time?
What would you do differently next time?
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15
. What training or background have you had that helped you teach this class? (Check all that apply.)
What training or background have you had that helped you teach this class? (Check all that apply.)
None
Basic nutrition knowledge
Advanced nutrition knowledge
Basic breastfeeding knowledge
Advanced breastfeeding knowledge
Public speaking
Client-centered NE training from State
Client-centered NE training at my local agency
Other (please specify)
16
. What additional training would help you teach this class?
What additional training would help you teach this class?
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17
. What credential(s) do you have? (Check all that apply.)
What credential(s) do you have? (Check all that apply.)
LVN
RN
LD
RD
Degreed Nutritionist
Other:
Other (please specify)
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18
. What is your job title?
What is your job title?
Clerk
WCS
CA
Nutritionist
Nutrition Education Coordinator
Breastfeeding Coordinator
Clinic Supervisor
LA Director
Other:
Other (please specify)
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